Individual
MS. ELLIE T LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,CDP
Contact information
Practice address
2821 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4344
Mailing address
PO BOX 158, SOUTH CLE ELUM, WA 98943-0158
(509) 260-0068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CP00006154
WA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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